Individual
BLAIR TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
8100 S WALKER AVE BLDG A, OKLAHOMA CITY, OK 73139-9475
(405) 632-4468
(405) 632-0436
Mailing address
8100 S WALKER AVE BLDG A, OKLAHOMA CITY, OK 73139-9475
(405) 632-4468
(405) 632-0436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2922
OK
Other
Enumeration date
06/26/2018
Last updated
06/02/2026
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